Nisha B, Murali Ramachandran
Department of Community Medicine, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India.
Department of Community Medicine, Chettinad Academy of Research and Education, Chennai, Tamil Nadu, India.
Indian J Community Med. 2020 Apr-Jun;45(2):149-153. doi: 10.4103/ijcm.IJCM_173_19. Epub 2020 Jun 2.
The most common cancer among Indian females is breast cancer. Limited access to early detection and treatment is responsible for more than half of the deaths, primarily in rural areas, where organized mammography screening is neither affordable nor feasible. Therefore, imparting awareness on breast health and breast self-examination (BSE) is highly recommended. This study aimed to assess the impact of a health education interventional program on breast health awareness and BSE among rural women of Tamil Nadu.
A quasi-experimental study was conducted among 266 women. A preinterventional survey was done using a pretested validated questionnaire. A multipronged breast health education intervention was administered and its effectiveness was measured after 3 months using the same tool.
There was a statistically significant ( = 0.0001) improvement in the knowledge of breast health, perceived susceptibility, and reasons for practice and proficiency of BSE practice of the interventional group from pre- to post-test. After the interventional program, 71.8% of increase in knowledge about breast health and BSE was observed. In addition, 64.7% of the women practiced BSE compared to 7.14% pretest.
This study highlights the awareness needs by the women and application of extensive strategies to increase the acceptance of cancer screening programs.
印度女性中最常见的癌症是乳腺癌。早期检测和治疗的机会有限是导致一半以上死亡的原因,主要是在农村地区,在那里有组织的乳房X线筛查既负担不起也不可行。因此,强烈建议提高对乳房健康和乳房自我检查(BSE)的认识。本研究旨在评估健康教育干预计划对泰米尔纳德邦农村妇女乳房健康意识和乳房自我检查的影响。
对266名妇女进行了一项准实验研究。使用预先测试并经过验证的问卷进行干预前调查。实施了多方面的乳房健康教育干预,并在3个月后使用相同工具测量其效果。
干预组从测试前到测试后,在乳房健康知识、感知易感性以及乳房自我检查实践的原因和熟练程度方面有统计学显著改善(P = 0.0001)。干预计划实施后,观察到乳房健康和乳房自我检查知识增加了71.8%。此外,64.7%的女性进行了乳房自我检查,而测试前为7.14%。
本研究突出了女性的认识需求以及应用广泛策略来提高癌症筛查计划的接受度。